| NPI | 1861514432 |
|---|---|
| Former Name | JULIE LYNN ANGELLOTTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55110) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D0018181) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2024-02-26 |